BlueCross BlueShield of South Carolina

SummaryProvides supervision to the Talent Acquisition team for Corporate areas. Monitors and provides support and guidance on full life-cycle recruitment efforts for internal business units with recruitment needs. Combines leading-edge resources and technology to deliver best in class

SummaryProvides supervision to the Talent Acquisition team for Corporate areas. Monitors and provides support and guidance on full life-cycle recruitment efforts for internal business units with recruitment needs. Combines leading-edge resources and technology to deliver best in class

SummaryWe are currently hiring for a Project Assistant to join BlueCross BlueShield of South this role as a Project Assistant you will provide a wide variety of administrative and staff support services coordinate more complex and diverse area specific projects administer programs pr

SummaryWe are currently hiring for a Project Assistant to join BlueCross BlueShield of South this role as a Project Assistant you will provide a wide variety of administrative and staff support services coordinate more complex and diverse area specific projects administer programs pr

SummaryProvides prompt accurate thorough and courteous responses to all complex customer inquiries. Inquiries are typically non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This posi

SummaryProvides prompt accurate thorough and courteous responses to all complex customer inquiries. Inquiries are typically non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This posi

SummaryUnder general supervision performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing reconciliations generating refund request letters processing disbursements and deposits keying journal entries and logging items in accordance

SummaryUnder general supervision performs a variety of routine to moderately complex clerical/accounting functions such as inventory balancing reconciliations generating refund request letters processing disbursements and deposits keying journal entries and logging items in accordance

SummaryResponsible for submitting stop loss claim packets and responding to any requests for additional information. Additionally the claims must be tracked and monitored. Complex analysis is performed and queries are generated to file and validate the claim submissions.DescriptionLog

SummaryResponsible for submitting stop loss claim packets and responding to any requests for additional information. Additionally the claims must be tracked and monitored. Complex analysis is performed and queries are generated to file and validate the claim submissions.DescriptionLog

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companiesOther companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest insurance co

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companiesOther companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest insurance co

SummaryResponsible for maintaining the proper flow of the request for appeals.DescriptionLogistics:Palmetto GBA-one of BlueCross BlueShields South Carolina subsidiary companies.Work Setting: Onsite at 200 Dozier Blvd Florence SC 29501 OR 17 Technology Circle Columbia SC 29203Working H

SummaryResponsible for maintaining the proper flow of the request for appeals.DescriptionLogistics:Palmetto GBA-one of BlueCross BlueShields South Carolina subsidiary companies.Work Setting: Onsite at 200 Dozier Blvd Florence SC 29501 OR 17 Technology Circle Columbia SC 29203Working H

SummaryManages the successful operations of a department that is responsible for administering part of a Medicare service contract. Oversees all appeals and rebuttals activities and requirements outlined in the National Provider Enrollment (NPE) Statement of Work and applicable sectio

SummaryManages the successful operations of a department that is responsible for administering part of a Medicare service contract. Oversees all appeals and rebuttals activities and requirements outlined in the National Provider Enrollment (NPE) Statement of Work and applicable sectio

SummaryResponsible for supervising the receipt review and settlement of the Medicare cost report ensuring all Centers for Medicare and Medicaid Services (CMS) requirements are met throughout the process.DescriptionThis position is a full-time remote position working Monday-Friday with

SummaryResponsible for supervising the receipt review and settlement of the Medicare cost report ensuring all Centers for Medicare and Medicaid Services (CMS) requirements are met throughout the process.DescriptionThis position is a full-time remote position working Monday-Friday with

SummaryResponsible for conducting timely thorough and accurate investigations of suspected fraud and abuse cases involving providers contractors and suppliers by using investigative and analytical techniques.DescriptionWhy should you join the BlueCross BlueShield of South Carolina fam

SummaryResponsible for conducting timely thorough and accurate investigations of suspected fraud and abuse cases involving providers contractors and suppliers by using investigative and analytical techniques.DescriptionWhy should you join the BlueCross BlueShield of South Carolina fam

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest insurance c

SummaryWhy should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest insurance c

SummaryFunctions as work leader for customer service units. Assists with escalated and complex issues.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 4101 Percival Rd Columbia SC 29229What Y

SummaryFunctions as work leader for customer service units. Assists with escalated and complex issues.DescriptionLocation: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located on-site at 4101 Percival Rd Columbia SC 29229What Y

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This position is full-tim

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This position is full-tim

SummaryResponsible for responding to routine Medicare Advantage inquiries. Identifies incorrectly processed Medicare claims and completes adjustments and related reprocessing actions. Reviews and adjudicates Medicare claims and/or non-medical appeals. Determines whether to return deny

SummaryResponsible for responding to routine Medicare Advantage inquiries. Identifies incorrectly processed Medicare claims and completes adjustments and related reprocessing actions. Reviews and adjudicates Medicare claims and/or non-medical appeals. Determines whether to return deny

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This position is full-tim

SummaryProvides prompt accurate thorough and courteous responses to all customer inquiries. Inquiries may be non-routine and require deviation from standard screens scripts and procedures. Performs research as needed to resolve inquiries.DescriptionLocation: This position is full-tim

SummaryPerforms medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims

SummaryPerforms medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims

SummaryWe are currently hiring for a Stop Loss Registered Nurse to join BlueCross BlueShield of South this role as a Stop Loss Registered Nurse you will evaluate and manage catastrophic episodes of illness for underwriting and claims. Ensures that the insured is receiving the best m

SummaryWe are currently hiring for a Stop Loss Registered Nurse to join BlueCross BlueShield of South this role as a Stop Loss Registered Nurse you will evaluate and manage catastrophic episodes of illness for underwriting and claims. Ensures that the insured is receiving the best m

SummaryWe are currently hiring for a Stop Loss Registered Nurse to join BlueCross BlueShield of South this role as a Stop Loss Registered Nurse you will evaluate and manage catastrophic episodes of illness for underwriting and claims. Ensures that the insured is receiving the best m

SummaryWe are currently hiring for a Stop Loss Registered Nurse to join BlueCross BlueShield of South this role as a Stop Loss Registered Nurse you will evaluate and manage catastrophic episodes of illness for underwriting and claims. Ensures that the insured is receiving the best m

SummaryProvides blended learning solutions and the use of innovative technology and tools to meet business goals. Responsible for training developing and coaching activities in various areas. This includes the analysis design delivery evaluation and maintenance required to manage the

SummaryProvides blended learning solutions and the use of innovative technology and tools to meet business goals. Responsible for training developing and coaching activities in various areas. This includes the analysis design delivery evaluation and maintenance required to manage the

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: PGBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. This role i

SummaryResponsible for the accurate and timely processing of claims.DescriptionLogistics: PGBA one of BlueCross BlueShields South Carolina subsidiary companies.Location: This position is full-time (40-hours/week) Monday-Friday from 8am-5pm in a typical office environment. This role i